| Full text | |
| Author(s): |
Goulart, Alessandra C.
[1, 2]
;
Fernandes, Tiotrefis G.
[3]
;
Santos, Itamar S.
[1]
;
Alencar, Airlane P.
[4]
;
Bensenor, Isabela M.
[1, 5]
;
Lotufo, Paulo A.
[1, 5]
Total Authors: 6
|
| Affiliation: | [1] Univ Sao Paulo, Univ Hosp, Sao Paulo - Brazil
[2] Univ Hosp, Ctr Clin & Epidemiol Res, BR-05508009 Sao Paulo - Brazil
[3] Univ Fed Amazonas, Coari, Amazonas - Brazil
[4] Univ Sao Paulo, Inst Math & Stat, Sao Paulo - Brazil
[5] Univ Sao Paulo, Sch Med, Sao Paulo - Brazil
Total Affiliations: 5
|
| Document type: | Journal article |
| Source: | BMC Neurology; v. 13, MAY 24 2013. |
| Web of Science Citations: | 13 |
| Abstract | |
Background: Few studies have examined both ischemic and hemorrhagic stroke to identify prognostic factors associated to long-term stroke survival. We investigated long-term survival and predictors that could adversely influence ischemic and hemorrhagic first-ever stroke prognosis. Methods: We prospectively ascertained 665 consecutive first-ever ischemic and hemorrhagic stroke cases from ``The Study of Stroke Mortality and Morbidity{''} (The EMMA Study) in a community hospital in Sao Paulo, Brazil. We evaluated cardiovascular risk factors and sociodemographic characteristics (age, gender, race and educational level). Results: We found a lower survival rate among hemorrhagic cases compared to ischemic stroke cases at the end of 4 years of follow-up (52% vs. 44%, p = 0.04). The risk of death was two times higher among people with ischemic stroke without formal education. Also, we found consistently higher risk of death for diabetics with ischemic stroke (HR = 1.45; 95% CI = 1.07-1.97) compared to no diabetics. As expected, age equally influenced on the high risk of poor survival, regardless of stroke subtype. Conclusions: For ischemic stroke, the lack of formal education and diabetes were significant independent predictors of poor long-term survival. (AU) | |
| FAPESP's process: | 11/17568-4 - Epidemiological stroke surveillance: risk profile associated with early and long term case-fatality: study of stroke mortality and morbidity (EMMA study), São Paulo, Brazil |
| Grantee: | Alessandra Carvalho Goulart |
| Support Opportunities: | Regular Research Grants |